Child Swing OT PC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

007965 Issued in NY

Legal business name

CHILD SWING OT PC

Practice address

25 Belmont PL
Staten Island, NY 10301-1709

Phone

(917) 494-8499

NPI assigned

Aug 7, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Edward PerezNPI 1174763270

Title

Otr

Phone

(917) 494-8499

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward Perez, O.T.R.

  • Pediatric Occupational Therapist
  • Staten Island, NY
  • NPI 1174763270

  Pediatrics

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1265789473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BELMONT PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103011709",
            "telephone_number": "917-494-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BELMONT PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103011709",
            "telephone_number": "917-494-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD SWING OT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OTR",
        "authorized_official_telephone_number": "917-494-8499",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "007965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Chigas, MA, MHC-LP, NBCC
• Bryan Gerard Chighine, PHARMD
• Sirisha Chigurupati
• Flora Ene Chikezie, LPN
• Nour Chikh Mousa
• Children at Play Early Intervention Center
• Children B Well
• Children's Home Intervention Program, Inc.
• Children's Home Intervention Program, Inc.
• Brandi Diane Childs, DPT

• Pediatric Occupational Therapist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.